Presentation Transcript

Conference for Pediatric Professionals 2008 :

Presenters :

Never Events :

Never Events The National Quality Forum defines never events based on four criteria:
“unambiguous”
“usually preventable”
“serious”
along with one of the following:
“adverse”
“indicative of a problem” in healthcare
“important for public credibility” from National Quality Forum (2006).

Infant Discharged to Wrong Person :

Infant Discharged to Wrong Person When a hospital discharges an infant to the wrong individual it is considered a never event.
This event typically occurs when a newborn is sent home with the wrong guardian after birth.

Prevention Strategies :

Importance :

Importance Medicare and Medicaid will no longer pay for never event errors as of this year
Lawsuits and legal proceedings are costly to the hospital
Disciplinary action could come against hospital personnel involved
Loss of public credibility results with every occurrence